Welcome to Avalon Application Form

    If you have difficulty with the form, don't hesitate to ask us for help.

    A * means that the question is compulsory, you won't be able to send the form without it.

    Your Details

    *Your Full Name

    *Your Address (please include your country)

    *Date of Birth (dd/mm/yyyy)

    *Your email address

    Home Telephone (include country code if applicable)

    Mobile Phone (include country code if applicable)

    Course updates

    How and where did you hear about the course? You don't need to complete below unless this is where you heard about the course, and brief details are fine.

    Leaflets (where?)

    Magazine or newspaper ad (details?)

    Website (which one?)

    Other (please specify)

    *Would you like to join our Goddess Temple Mailing List? You will receive updates and information about courses and occasional Goddess Temple and Goddess House news. You can, of course, choose to unsubscribe at any time and if you're already subscribed you won't be added again.

    yesno

    Information about Fees

    This section is for information only - you can pay your fees from the individual course application page

    Full payment £125. Deposit of £50 payable within four weeks of acceptance by tutor. Balance of £75 due by 9th October 2021. If you have applied within four weeks of the course date your deposit must be received by return on acceptance.

    Please make payments to: Glastonbury Goddess Temple.

    About your health

    Because the nature of these trainings is transformative and energetic it is important for the teacher to know of certain mental & physical conditions. Answering these questions enables us to ensure your safe participation within the group and to recognise those times when it may be wiser to observe rather than to participate. It is a requirement for you to answer the following questions. All information is held in total confidence.

    Do you suffer from any of the following conditions? (If necessary you can select multiple conditions by holding down the "Control" key and selecting as required).

    *Do you have, or have you had, any medical problems of an acute or chronic nature?

    yesno

    *Have you ever had any mental health problems diagnosed or treated?

    yesno

    *Do you have any physical needs that it would be useful for your tutor to know about? (Please note - we regret that many of our rooms are upstairs).

    yesno

    *Are you taking any drugs, prescribed or otherwise?

    YesNo

    If you have included any of the conditions above, please give details. The text area below will expand to allow 512 characters (with a counter below to let you know where you're up to):


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